tbuckley/cabot-search huggingface dataset:
Old Doctors
Authors: Ronald O. Valdiserri
Journal: Annals of Internal Medicine (2023)

Ad LibitumNovember 2023Old DoctorsRonald O. Valdiserri, MD, MPHRonald O. Valdiserri, MD, MPHRollins School of Public Health, Emory University, Atlanta, GeorgiaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-1195 Audio Reading - “Old Doctors” Supplement. Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads "Old Doctors" by Ronald O. Valdiserri, MD, MPH Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail What happens to old doctors as they turn hoary?Diagnosing and treating no more.CMEs and recertification distant thoughts,Obscured by the immediate and persistent demands of an aging organism.Do they recall learning human anatomy,Long-ago days hunched over the splayed thorax of an unnamed cadaver?And how much of that wonderful, arcane language can they still recite?Exquisite words like chordae tendineae, trabeculae carneae, and globus pallidus.Are memories present of their operating room initiation?Next to the surgeon, scrubbing, anxiety and excitement.Entering, arms up, waiting to be gowned by the nurse.Outsize enthusiasm arising simply from holding a retractor, while a gallbladder is excised.Worn ... Author, Article, and Disclosure InformationAuthors: Ronald O. Valdiserri, MD, MPHAffiliations: Rollins School of Public Health, Emory University, Atlanta, GeorgiaCorresponding Author: Ronald O. Valdiserri, MD, MPH; e-mail, rovaldiserri@gmail.com. PreviousarticleNextarticle Advertisement Audio Reading - “Old Doctors” Supplement. Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads "Old Doctors" by Ronald O. Valdiserri, MD, MPH Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics Current IssueNovember 2023Volume 176, Issue 11Page: 1564 ePublished: 21 November 2023 Issue Published: November 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Lung Cancer in Albania
Authors: Daniela Xhemalaj, Fadil Gradica, Ilir Skenduli, Jonida Tula, Elvisa Kozma, Sofiela Telo, Elona Xhardo, Arjana Sina, Jolanda Nikolla, Sotiraq Senjo, Elida Mata, Leart Berdica, Arben Lloja
Journal: Journal of Thoracic Oncology (2023)
Trauma-Informed
Authors: William E. Rosa
Journal: Annals of Internal Medicine (2023)

On Being a PatientNovember 2023Trauma-InformedWilliam E. Rosa, PhD, MBE, APRNWilliam E. Rosa, PhD, MBE, APRNMemorial Sloan Kettering Cancer Center, New York, New YorkSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-2275 Audio Reading - “Trauma-Informed” Supplement. Audio. Virginia L. Hood, MD, a physician from the University of Vermont, reads “Trauma-Informed” by William E. Rosa, PhD, MBE, APRN Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail I sat dumbfounded on a stretcher in the psych ED. The woman behind me described her preadmission suicide attempt, and a few doors away a man reviewed the domestic violence that compelled his being flanked by police. My thoughts were twofold: “How did I get here?” and “Why me?”Minutes earlier, my husband and parents walked me to the unit entrance. Before I could hug them goodbye, a latched steel door slammed shut, separating me from the people I loved most. The guards ordered me to take off my clothes, change into scrubs, and turn over my belongings. My wedding ... Author, Article, and Disclosure InformationAuthors: William E. Rosa, PhD, MBE, APRNAffiliations: Memorial Sloan Kettering Cancer Center, New York, New YorkCorresponding Author: William E. Rosa, PhD, MBE, APRN, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 633 Third Avenue, Fourth Floor, New York, NY 10017; e-mail, rosaw@mskcc.org. PreviousarticleNextarticle Advertisement Audio Reading - “Trauma-Informed” Supplement. Audio. Virginia L. Hood, MD, a physician from the University of Vermont, reads “Trauma-Informed” by William E. Rosa, PhD, MBE, APRN Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics Current IssueNovember 2023Volume 176, Issue 11Page: 1561-1562 ePublished: 21 November 2023 Issue Published: November 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Letter to the Editor: A multi-society Delphi consensus statement on new fatty liver disease nomenclature
Authors: Jay H. Hoofnagle, Edward Doo
Journal: Hepatology (2023)

Liver Disease Research Branch, Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD Short Title: New Names for NASH The content and opinions expressed in this letter are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health. Abbreviations: MASH, metabolic dysfunction-associated steatohepatitis; MASLD, metabolic dysfunction associated steatotic liver disease; NAFLD, nonalcoholic fatty liver disease; NASH, nonalcoholic steatohepatitis; NIDDK, National Institute of Diabetes and Digestive and Kidney Diseases; NIH, National Institutes of Health. Correspondence Jay Hoofnagle, Room 6005, Democracy II, 6707 Democracy Blvd, Bethesda, MD 20817. Email: [email protected]
Short-term and long-term outcomes after robotic versus open hepatectomy in patients with large hepatocellular carcinoma: a multicenter study
Authors: Xiu-Ping Zhang, Nan Jiang, Lin Zhu, Zhao-Yi Lin, Wei-Xing Guo, Xiong Chen, Yun-Tao Ma, Fan Zhang, Yu-Fu Tang, Zi-Li Chen, Mao-Lin Yan, Zhi-Ming Zhao, Cheng-Gang Li, Wan Yee Lau, Shu-Qun Cheng, Ming-Gen Hu, Rong Liu
Journal: International Journal of Surgery (2023)

Background: Robotic hepatectomy (RH) is currently widely accepted and it is associated with some benefits when compared to open hepatectomy (OH). However, whether such benefits can still be achieved for patients with large hepatocellular carcinoma (HCC) remain unclear. This study aimed to evaluate the short- and long-term outcomes of patients undergoing RH or OH. Methods: Perioperative and survival data from patients with large HCC who underwent RH or OH between January 2010 and December 2020 were collected from eight centers. Propensity score matching (PSM) was performed to minimize potential biases. Results: Using predefined inclusion criteria, 797 patients who underwent OH and 309 patients who underwent RH were enrolled in this study. After PSM, 280 patients in the robotic group had shorter operative time (median 181 vs. 201 min, P &lt;0.001), lower estimated blood loss (EBL) (median 200 vs. 400 mL, P &lt;0.001), and shorter postoperative length of stay (LOS) (median 6 vs. 9 d, P &lt;0.001) than 465 patients in the open group. There were no significant differences between the two groups in overall survival (OS) and recurrence-free survival (RFS). Cox analysis showed AFP &gt;400 ng/mL, tumour size &gt;10 cm, and microvascular invasion were independent risk factors for OS and RFS. After PSM, subgroup analysis showed that patients with a huge HCC (diameter &gt;10 cm) who underwent RH had significantly lower EBL (median 200.0 vs. 500.0 minutes, P &lt;0.001), and shorter LOS (median 7 vs. 10 d, P &lt;0.001) than those who underwent OH. Conclusion: Safety and feasibility of RH and OH for patients with large HCC were comparable. RH resulted in similar long-term survival outcomes as OH.
A commentary on ‘Bone grafting for femoral head necrosis in the past decade: a systematic review and network meta-analysis’ (Int J Surg. 2023;10.1097. doi: 10.1097/JS9.0000000000000231)
Authors: Jian Cao, Xufeng Wan, Qiang Su, Zongke Zhou
Journal: International Journal of Surgery (2023)

Department of Orthopedic Surgery, West China Hospital, Sichuan University, #37 Guoxue Road, Chengdu, 610041, People's Republic of China Jian Cao and Xufeng Wan are co-first authors, the two authors contributed to this article equally. Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. Published online ■ ■ *Corresponding author. Address: Sichuan University West China Hospital Chengdu, CHINA Tel: +86-028-85423426. E-mail address: [email protected] (Z. Zhou). This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0/
Transperineal anastomotic posterior urethroplasty with bulbocavernosus flap and fibrin sealant in the complicated posterior urethral stricture reconstruction: a retrospective cohort study
Authors: Menghua Wang, Liang Zhou, Banghua Liao, Donghui Ye, Yucheng Ma, Zhongyu Jian, Chi Yuan, Xi Jin, Hong Li, Kunjie Wang
Journal: International Journal of Surgery (2023)

Management of complicated posterior urethral stricture is challenging. Modified transperineal anastomotic urethroplasty (TAU) with bulbocavernosus flap interposition and human fibrin sealant provides another treatment option. The authors aimed to evaluate whether this technique could improve the success rate in the complicated posterior urethral stricture reconstruction in this study.
Nuclear Acly protects the liver from ischemia-reperfusion injury
Authors: Wenbin Gao, Liping Zhang, Ziru Li, Tong Wu, Chunhui Lang, Michael W. Mulholland, Weizhen Zhang
Journal: Hepatology (2023)

Hepatic ischemia-reperfusion (IR) injury is the most common complication that occurs in liver surgery and hemorrhagic shock. ATP citrate lyase (Acly) plays a pivotal role in chromatin modification via generating acetyl-CoA for histone acetylation to influence biological processes. We aim to examine the roles of Acly, which is highly expressed in hepatocytes, in liver IR injury.
Parting Gifts
Authors: Joseph Zarconi
Journal: Annals of Internal Medicine (2023)

On Being a DoctorNovember 2023Parting GiftsJoseph Zarconi, MDJoseph Zarconi, MDNortheast Ohio Medical University, Rootstown, OhioSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-2341 Audio Reading - “Parting Gifts” Supplement. Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads “Parting Gifts” by Joseph Zarconi Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Our visits were becoming shorter. She kept her curtains drawn, her room dimly lit, but she was always awake, alert, searching. Her face seemed to brighten when my daily rounds would deliver me to her bedside. In my physician costume, I danced with her each morning at the masquerade ball. I cheerily started each of those daily encounters with a “good morning,” but it was clear to me that her mornings were no longer any good for her. “How are you this morning?” I would ask as if I didn’t know the answer. I knew the answer. Two steps forward, ... Author, Article, and Disclosure InformationAuthors: Joseph Zarconi, MDAffiliations: Northeast Ohio Medical University, Rootstown, OhioCorresponding Author: Joseph Zarconi, MD; e-mail, jzarconi@neomed.edu. PreviousarticleNextarticle Advertisement Audio Reading - “Parting Gifts” Supplement. Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads “Parting Gifts” by Joseph Zarconi Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics Current IssueNovember 2023Volume 176, Issue 11Page: 1557-1558 ePublished: 21 November 2023 Issue Published: November 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Missed Directives
Authors: Mitchel L. Galishoff
Journal: Annals of Internal Medicine (2023)

LettersNovember 2023Missed DirectivesMitchel L. Galishoff, MDMitchel L. Galishoff, MDValley Medical & Surgical Clinic, Valley, AlabamaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L23-0357 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: I would like to thank Ross (1) for sharing his family's painful experience regarding his mother's last days and an advance directive that was neither read nor followed. The author's experience is part of a much larger problem concerning health care systems that function exclusively on electronic health records.As an independent internal medicine physician who works alone in private practice, I am not part of a larger organization. I have limited access to some institutional electronic health records, and their physicians do not have access to mine. When I send a patient to the emergency department, ...Reference1. Ross GS. Missed directives. Ann Intern Med. 2023;176:580-581. [PMID: 37068298] doi:10.7326/M22-3199 LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Mitchel L. Galishoff, MDAffiliations: Valley Medical & Surgical Clinic, Valley, AlabamaDisclosures: Authors have reported no disclosures of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L23-0357. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Current IssueNovember 2023Volume 176, Issue 11 ePublished: 21 November 2023 Issue Published: November 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Reply: A multi-society Delphi consensus statement on new fatty liver disease nomenclature
Authors: Jeffrey V. Lazarus, Philip N. Newsome, Sven M. Francque, Fasiha Kanwal, Norah A. Terrault, Mary E. Rinella
Journal: Hepatology (2023)

Lazarus, Jeffrey V.; Newsome, Philip N.; Francque, Sven M.; Kanwal, Fasiha; Terrault, Norah A.; Rinella, Mary E. Author Information
Reply to “A commentary on ‘Self-expanding metal ureteral stent for ureteral stricture: experience of a large- scale prospective study from a high-volume center – cross-sectional study’ (Int J Surg 2021; 95: 106161)”
Authors: Cai Tang, Xin Wei
Journal: International Journal of Surgery (2023)

Department of Urology, West China Hospital of Sichuan University, Chengdu 610041, China Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. Published online ■ ■ *Corresponding author. Address: Department of Urology, West China Hospital of Sichuan University, Chengdu 610041, China. E-mail address: [email protected] (X. Wei). This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0/
The telomere tango: Liver disease in the genomic spotlight
Authors: Kathryn A. Schmidt, Douglas A. Simonetto
Journal: Hepatology (2023)

Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester MN, USA Classification: Editorial Correspondence Douglas A Simonetto, Mayo Clinic, 200 First St. S.W., Rochester, MN 55905. Email: [email protected]
Differential efficacy of segmentectomy and wedge resection in sublobar resection compared to lobectomy for solid-dominant stage IA lung cancer: a systematic review and meta-analysis
Authors: Lin Huahang, Zhiyu Peng, Ke Zhou, Linchuan Liang, Jie Cao, Zhaokang Huang, Lonqi Chen, Jiandong Mei
Journal: International Journal of Surgery (2023)

Background: Currently, the impact of sublobar resection versus lobectomy on the prognosis of solid-dominant stage IA lung cancer is contradictory in different studies, which requires further exploration. Methods: We analyzed 26 studies, including one randomized controlled trial and retrospective cohort studies. Pooled hazard ratios (HR) and 95% confidence intervals (CI) were calculated using fixed-effects or random-effects models based on heterogeneity levels. Results: The analysis included 12667 patients, with 3488 undergoing sublobar resections and 9179 receiving lobectomies. The overall analysis revealed no statistically significant difference in overall survival (OS) (HR=1.28, 95% CI: 0.98–1.69) between sublobar resection and lobectomy, but lobectomy was associated with better recurrence-free survival (RFS) (HR=1.39, 95% CI: 1.10–1.75). Subgroup analyses revealed that, for tumors with a diameter ≤2 cm, sublobar resection versus lobectomy showed no significant difference in OS but sublobar resection had lower RFS. For 2-3 cm tumors, both OS and RFS were significantly lower in the sublobar resection group. When consolidation-to-tumor ratio (CTR) ranged from 0.5 to &lt;1, OS didn’t differ significantly, but RFS was significantly lower in sublobar resection. Lung cancers with CTR=1 showed significantly lower OS and RFS in the sublobar resection group. Segmentectomy provided similar OS and RFS compared to lobectomy, while wedge resection had a detrimental effect on patient prognosis. However, wedge resection may have provided comparable outcomes for patients aged 75 years or older. Conclusion: Our findings suggest that segmentectomy and lobectomy yield similar oncological outcomes. However, compared to lobectomy, wedge resection is associated with a poorer prognosis. Nevertheless, for elderly patients, wedge resection is also a reasonable surgical option.
Cardiovascular Health of Middle-Aged U.S. Adults by Income Level, 1999 to March 2020
Authors: Michael Liu, Rahul Aggarwal, Zhaonian Zheng, Robert W. Yeh, Dhruv S. Kazi, Karen E. Joynt Maddox, Rishi K. Wadhera
Journal: Annals of Internal Medicine (2023)

Although cardiovascular mortality has increased among middle-aged U.S. adults since 2011, how the burden of cardiovascular risk factors has changed for this population by income level over the past 2 decades is unknown.
Preliminary report on a novel technique for endoscopic transaxillary thyroidectomy: a case–control study
Authors: Yang Liu, Jiazhong Wang, Shuo Chen, Hao Lv, Shuo Yu, Xiaoli Ran, Nan Gao, Yun Sun, Gang Cao
Journal: International Journal of Surgery (2023)

Background: Endoscopic transaxillary approaches to thyroidectomy have been well described and gasless transaxillary endoscopic thyroidectomy (GTET) is the most popular method. However, this require a single long axillary incision which is longer than most remote access thyroidectomy procedures. We improved the GTET and provided a novel way to access the thyroid. The purpose of this study was to test the feasibility of our novel transaxillary thyroidectomy procedure and to attempt to reduce the size of the scar and reduce the flap creation area. Methods: 116 patients who underwent our novel transaxillary thyroidectomy procedure were compared with the patients who underwent open and GTET procedures. The patients’ demographics, outcomes, and complications were analyzed. Results: Although the operation time (121.48±23.91mins) was longer in the novel endoscopic group compare to the open group, it was shorter than GTET group. Intraoperative blood loss was similar between the groups. However, the novel procedure group had more drainage volume within 48 postoperative hours compare to other two groups. Despite the VAS pain score didn’t reveal a difference between the open and novel endoscopic procedure, it was lower in the novel procedure than GTET. The hospital stay days didn’t show a difference between the two groups. The number of resected central lymph nodes was similar between the groups. Differences didn’t reveal between the groups regarding to the complications rate. Conclusion: Our results showed that our novel transaxillary thyroidectomy procedure is feasible and safe. This procedure can be an alternative endoscopic transaxillary method for thyroidectomy.
Comparison of robotic versus thoracoscopic repair for congenital esophageal atresia: a propensity score matching analysis
Authors: Mengxin Zhang, Jinshi Huang, Wei Zhong, Xi Zhang, Ying Zhou, Shuiqing Chi, Liying Rong, Yang Zhang, Guoqing Cao, Shuai Li, Shao-tao Tang
Journal: International Journal of Surgery (2023)

Background: Despite the rapid advancement of robotic surgery across various surgical domains, only cases of robotic repair (RR) for neonates with esophageal atresia (EA) have been reported. Comprehensive studies comparing RR and thoracoscopic repair (TR) are lacking. We aimed to compare the safety and efficacy of RR and TR for EA. Methods: A retrospective multicenter study was conducted on 155 EA neonates undergoing RR (79 patients) or TR (76 patients) between August 2020 and February 2023 using propensity score matching (PSM). Asymmetric port distribution and step-trocar insertion techniques were applied during RR. Demographics and surgical outcomes were compared. Results: After matching, 63 patients (out of 79) in RR group and 63 patients (out of 76) in TR group were included. There were no significant differences in short-term outcomes between two groups, except for longer total operative time (173.81 vs. 160.54 min; P &lt;0.001) and shorter anastomotic time (29.52 vs. 40.21 min; P &lt;0.001) in RR group. Compared with TR group, the RR group had older age at surgery (8.00 vs. 3.00 d; P &lt;0.001), but a comparable pneumonia rate. More importantly, the incidence of anastomotic leakage (4.76% vs. 19.05%, P =0.013), anastomotic stricture (15.87% vs. 31.74%, P =0.036) within one year postoperatively, and unplanned readmission (32.26% vs. 60.00%, P =0.030) within two years postoperatively were lower in RR group than in TR group. Conclusions: RR is a technically safe and effective option for EA patients. This approach delays the age of surgery without increasing respiratory complication rates while reducing the incidence of postoperative anastomotic complications and unplanned readmission.
Can Machine Learning Aid the Selection of Percutaneous vs Surgical Revascularization?
Authors: Kai Ninomiya, Shigetaka Kageyama, Hiroki Shiomi, Nozomi Kotoku, Shinichiro Masuda, Pruthvi C. Revaiah, Scot Garg, Neil O'Leary, David van Klaveren, Takeshi Kimura, Yoshinobu Onuma, Patrick W. Serruys
Journal: Journal of the American College of Cardiology (2023)